CLIA lab
CLIA 10D1094813: Kapil Puri MD PA
Niceville, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1094813 belongs to Kapil Puri MD PA in Niceville, FL.
Certificate of Waiver, effective February 4, 2026, expires February 3, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 4, 2026
- Certificate expiration
- February 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 28, 2009
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D1094813
- Lab name
- Kapil Puri MD PA
- Address
- 1110 Juniper Ave, Niceville, FL 32578
- Phone
- (850) 279-4600
- Fax
- (850) 279-4566
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bluewater Radiology, PLLCCertificate of Waiver, Other10D1052527
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- Cardiothoracic & Vascular Surgical Associates, PACertificate of Waiver, Physician office10D2066133
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- Coastal Dermatology LaboratoryCertificate of Compliance, Physician office10D2106853
Related
Questions
What is the CLIA number for Kapil Puri MD PA in Niceville?
10D1094813, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kapil Puri MD PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1094813 expire?
The CMS file lists February 3, 2028 as the certificate expiration date; the certificate took effect February 4, 2026.